Treatments for Ice pick acne scars | Dr Davin Lim

ce-pick acne scars are one of the most common forms of acne scarring. 🔎
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🧠 Skin science: Acne scars can occur in up to 80% of patients with #cysticacne. It is advisable to control acne, or better still place acne in remission before or at the time of #acnescarrevision.
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👨🏻‍⚕️Treatment options: Creams can decrease some forms of atrophic scars. Adapelene 0.3% has recently been advocated. Surgical options include punch excision. Chemical modulation include TCA CROSS (chemical reconstruction of skin scars), TCA Paint (my preferred method), as well as focal #phenolpeels (awesome results). Ablative #co2laser to the side walls of the #pickscar is also very effective.
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📈 Clinical application: My TCA concentration varies from 40 to 100%, phenol at 88%. #crotonoil at 0.1-0.3%. Most patients will have other forms of atrophic scarring, hence other methods such as #subcision, RF, #microneedling and lasers are frequently used in the same session.
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⚠️ Caution: In skin type 4 and above, skin colour change (PIH) is universally seen. For scars that are not well defined the use of strong acids can widen scars. For wide #boxcarscars I drop the concentration, as well as the pressure on the brush.
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🧴Recommended products: #skinpriming with #retinoids such as #adapelene . Sunscreen -#LRP or #invisiblezinc. In dark skin patients compounded #lighteningcreams, #hydroquinone , #meladerm, #melacream.

[@thetruthdatedr.4766]

Ive literally been obsessing over my scars today.

[@womanatthewell9603]

Yes box scar video please, Ive had laser 2x, tretoinon use for years, derma stamp, TCA peels, etc and I still have them and I am 56. Luckily they have become more shallow but still very obvious on my cheeks.

[@reguret2976]

if you're that old and literally nobody said something bad about your face. Then you don't need to worry about it, enjoy life.

[@joannadziurkiewicz1001]

I’ve gotten 7 ice pick scars removed with punch excision by a plastic surgeon. They’re still healing after more than a year but the plastic surgeon removed 2 that were very close to each other and spread open unfortunately. I’m not sure what kind of scars they are even considered. They’re definitely tethered and they’re more shallow but seem wider for sure. My plan was to try a combination treatment of a few sessions of picosure with focus lense and professional micro-needling with skin pen. I’m very self conscious about them I’m not exactly sure what else I could do I’m hoping 3 picosure treatments and 4 skin pen treatments will help I’m not expecting any response/advice back but I figured it would be worth a shot.

[@MiraOmicronceti]

I've never smoked in my life, but I did have acne and now I have 2-3 ice pick scars on each side of my face and they're very visible. Is it possible to get them from second hand smoke? My parents were heavy smokers and all of my friends use to smoke because it was very common where I come from.

[@Momocreme]

Do you not recommend micro needling?

[@jjthut4323]

Box scar please?

[@Matti294]

Would you recommend micro needling?

[@froufou100]

no need for expensive lasers. Mine went away with longer needle dermarolling sessions at the beautician...

[@EinerJandroep]

Example of brush is needed Dr. Lim

[@m.richards6947]

This would save my life.

[@nazendebetul8751]

Hi Dr, Can lasers, RF Microneedling and professional skincare be done while using oral isotretinoin?

[@dennyspence4210]

Cleft lip or cleft palate reconstruction involves using a cream I can just about imagine for regeneration or repair.

[@itsmeg4575]

is tca cross good for darker skin tones?

[@aroundtheworld3278]

Hello dr please tell me does subscion cause sagging? I have done 3 co2 lasers but didn't get results only got little improvement from 1 session now i am going to do a subscion but i saw people complaining about skin sagging

[@number1spot]

Is there a role for RF Microneedling in treating ice pick scars?

[@user-li5pw8ck9u]

Thank you from korea

[@Only1Sosa.]

Have you ever had done it on yourself?

[@uxiaamber1292]

❤ thank you

[@arcturiangirlx664]

Hi doc! How are you? Hope everything is fine. I want to ask for your opinion. I did TCA cross 90% for my ice pick scars with my board certified dermatologist here in the Philippines. Note that I had 9 other TCA cross done before that. So my healing process with her work was, on the left cheek, the scabs went off easily like 3-5 days as normal. However, on the right cheek, it took 2-3 weeks at least before it fell off and the scars became widened and deeper plus post inflammatory erythema. So imagine the shock and anxiety it gave me since I’ve been applying for a flight attendant position so I have to have flawless skin, right? My derma said to just wait, it will heal. 2 months after, she gave me a chemical peel for free for the PIE. Now, it’s been 3 months, it’s better than before but then again, there’s still PIE and the atrophic scars are there. I’ve been asking her to fix the craters caused by her TCA cross because I never had those atrophic scars before our TCA cross so naturally, I was hoping for a moral obligation from her to fix my botched skin. She will do a procedure if I will pay her. If I won’t pay, her preposition is to just wait until it heals, the PIE and the atrophic scars. Will it really heal just by waiting? How long will it take? A year or two? Do I have time to wait? No. I am unemployed and looking to go back to the airline industry and this happened to my skin? That’s so outrageous and unacceptable. It seems she doesn’t care about my situation that airline hirings come and go and I needed to be in my best skin every time they come here in the Philippines. I didn’t even go to some openings because I can see my skin is still not in the best shape. She never empathized with me even blaming me that I did this to my skin. As if she is god that she cannot do mistakes in her works. She also gaslights me that my skin is flatter now compared to before. And I was like, I won’t be stressing about my skin and be unhappy if the results were good from before. I swear, I don’t know if she is blind or what. I have consulted with other dermas who saw my botched skin and they said procedures can already be done to resurface the skin and 3 months is enough for healing and waiting already. What can I do now that I can’t seem to talk to my derma in a civil way anymore for her to fix my skin caused by her procedure. Can I sue her? At this point, I don’t want her touching my face anymore but I can’t let it go that she doesn’t care about her clients whom went to her to have a better skin but gave the worst outcome. If this happened to me, maybe it will happen to other people.

[@jesussimbol987]

which derma did you go to? im planning to get my scars treated when i get back to the phillipines

[@bilalameer57]

nice video dr

[@jenniferwillis8206]

I’ve never smoked in my life😂